NPI | 1730101304 |
---|---|
Other Name | FAMILY PHYSICIANS OF KISSIMMEE |
Former Legal Business Name | FAMILY PHYSICIANS OF WINTER PARK, INC. |
Doing Business As | CENTERWELL SENIOR PRIMARY CARE OF KISSIMMEE |
Entity Type | Organization |
Authorized Contact | ANGIE MARTINEZ Senior Credentialing Professional 407-447-7120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-05-10 |